Complicated Peptic Ulcer with Complications — what U.S. hospitals charge
MS-DRG 381 · Inpatient stay · 34 U.S. hospitals publish a price
Cheapest quarter
under $39,539
Typical charge
$52,291
Dearest quarter
over $66,926
Actually paid
$10,501
The middle U.S. hospital bills $52,291 for Complicated Peptic Ulcer with Complications. The dearest hospitals charge about 3.0x what the cheapest do for the same coded work. Medicare actually paid about $10,501 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Complicated Peptic Ulcer with Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Florida | 6 | $61,525 | $49,454 – $79,649 |
| California | 5 | $65,183 | $49,980 – $195,452 |
| New York | 4 | $103,805 | $63,965 – $142,817 |
Where Complicated Peptic Ulcer with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Riverside Regional Medical Center
Newport News, VA |
$22,223 | $8,491 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$28,328 | $8,818 |
|
Southcoast Hospitals Group
Fall River, MA |
$29,910 | $9,201 |
|
Christiana Hospital
Newark, DE |
$31,012 | $9,994 |
|
Presbyterian Hospital
Albuquerque, NM |
$32,176 | $8,541 |
|
Norton Hospitals, Inc
Louisville, KY |
$34,632 | $7,922 |
|
Mississippi Baptist Medical Center
Jackson, MS |
$36,329 | $6,772 |
|
Palos Community Hospital
Palos Heights, IL |
$36,496 | $7,064 |
|
Maury Regional Hospital
Columbia, TN |
$39,392 | $7,329 |
|
Miami Valley Hospital
Dayton, OH |
$39,979 | $8,719 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$41,417 | $13,521 |
|
Lexington Medical Center
West Columbia, SC |
$43,019 | $8,154 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$195,452 | $14,285 |
|
Nyu Langone Hospitals
New York, NY |
$142,817 | $17,216 |
|
New York-Presbyterian Hospital
New York, NY |
$140,714 | $16,339 |
|
Torrance Memorial Medical Center
Torrance, CA |
$95,656 | $10,157 |
|
Morristown Medical Center
Morristown, NJ |
$88,926 | $10,935 |
|
Hackensack University Medical Center
Hackensack, NJ |
$87,169 | $15,241 |
|
Adventhealth Orlando
Orlando, FL |
$79,649 | $11,682 |
|
Methodist Hospital
San Antonio, TX |
$72,128 | $8,819 |
|
Lehigh Valley Hospital
Allentown, PA |
$66,936 | $9,754 |
|
John T Mather Memorial Hospital Of Port Jefferson
Port Jefferson, NY |
$66,897 | $12,206 |
|
Sutter Roseville Medical Center
Roseville, CA |
$65,183 | $13,535 |
|
Garnet Health Medical Center
Middletown, NY |
$63,965 | $11,454 |
Questions people ask
What do U.S. hospitals charge for Complicated Peptic Ulcer with Complications?
Across 34 U.S. hospitals, the middle charge for Complicated Peptic Ulcer with Complications is $52,291. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $39,539 and the dearest quarter over $66,926.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Complicated Peptic Ulcer with Complications, the hospitals in the dearest tenth charge about 3.0x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $10,501 is roughly what Medicare actually paid per case, against an average charge of $65,324. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 381: “COMPLICATED PEPTIC ULCER WITH CC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.